Job Overview:
The level II Medical Biller's general responsiblities include assisting the lead medical biller and fellow billing staff in submitting accurate clean claims, ensuring timely follow up. Collaboration with other teams will be needed to ensure denied claims are appealed as needed. Medical Biller II should be cross trained to work different payers to help assist other billing staff. Reviews, investiges, and resolves credit balances. Medical Biller II will ensure the proper documentation in the facility's billing system. Responsible also to provide excellent customer service skills by answering patient and third party questions and/or addressing billing concerns in a timely and professional manner.
Job Requirements:
High School Degree or GED
Billing knowledge that includes: ICD-9, ICD-10, and CPT terminology
Epic and Clearing House experience
Working knowledge of insurance policies and appeals Consistently meets individual productivity incentive standards
3-4 years experience in related field
Highly Preferred:
- Required – Epic Experience
- Physician Claims/Denial Follow-up. Ability to work and resolve denied claims.
- 2 years’ experience in physician Billing claims follow-up
- Knowledge of Availity, RevLink and payer websites and portals
- Job Responsibilities:
- Other job-related information:
- Working Conditions:
- Climbing - Rarely
- Concentrating - Consistently
- Continous Learning - Frequently
- Hearing: Conversation - Frequently
- Hearing: Other Sounds - Rarely
- Interpersonal Communication - Rarely
- Kneeling - Rarely
- Lifting <10 Lbs - Rarely
- Lifting 50+ Lbs - Rarely
- Lifting 11-50 Lbs - Rarely
- Pulling - Rarely
- Pushing - Rarely
- Reaching - Rarely
- Reading - Consistently
- Sitting - Consistently
- Standing - Frequently
- Stooping - Rarely
- Talking - Frequently
- Thinking/Reasoning - Consistently
- Use of Hands - Consistently
- Color Vision - Frequently
- Visual Acuity: Far - Consistently
- Visual Acuity: Near - Consistently
- Walking - Frequently
- TriHealth SERVE Standards and ALWAYS Behaviors
- At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:
- Serve: ALWAYS…
- Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
- Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
- Refrain from using cell phones for personal reasons in public spaces or patient care areas
- Excel: ALWAYS…
- Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
- Offer patients and guests priority when waiting (lines, elevators)
- Work on improving quality, safety, and service
- Respect: ALWAYS…
- Respect cultural and spiritual differences and honor individual preferences.
- Respect everyone’s opinion and contribution, regardless of title/role.
- Speak positively about my team members and other departments in front of patients and guests.
- Value: ALWAYS…
- Value the time of others by striving to be on time, prepared and actively participating.
- Pick up trash, ensuring the physical environment is clean and safe.
- Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.
- Engage: ALWAYS…
- Acknowledge wins and frequently thank team members and others for contributions.
- Show courtesy and compassion with customers, team members and the community
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- 4685 Forest Ave, NORWOOD, OH, 45212, US
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